Strength to Stand

Marcus Aurelius on what resilience actually is I heard the news during our Monday morning staff meeting at 8:30 AM. One of our biggest referral sources — gone, just like that. No warning. No negotiation. Just a polite, corporate explanation about “new priorities” and “value-based care.” I knew what it really meant. Hundreds of patients […]
The Power of No

Marcus Aurelius on what less actually buys you Sometimes the hardest business lessons come from saying yes when you should have said no. I learned this expanding my home health agency into a new geographic area. On paper it looked perfect. The numbers worked. The need was there. That area eventually grew to represent half […]
When Doing the Right Thing Hurts

Marcus Aurelius on what integrity actually costs I remember staring at the spreadsheet, willing the numbers to change. It was clear. If we took this patient, we would lose a lot of money. We were a new business and every dollar mattered. A lot. Medicare wouldn’t come close to covering the cost of the care […]